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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Hard Heart Beats?

My heart does one very hard beat occasionally and slows down a bit when this happens. It happens intermittently - sometimes as frequently as every 6 beats or so - sometimes 30 to 40 beats between occurrences. It is most noticeable when lying down. Has been going on for about a month. Is it anything I should worry about or get checked out?                                                                  
Tue, 5 Feb 2019
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Cardiologist,  's  Response
Hello,

I passed carefully through your question and would explain that your symptoms could be related to a possible cardiac arrhythmia. Anxiety cannot be excluded either.

For this reason, I would recommend consulting with your attending physician for a physical exam and some tests (a resting ECG, complete blood count for anaemia, thyroid hormone levels and blood electrolytes for possible imbalance).

A prolonged ECG Holter monitoring would help investigate for possible cardiac arrhythmia. You should discuss with your doctor on the above tests.

In the meantime, I recommend reducing caffeine intake and straining physical activity.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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What Causes Intermittent Hard Heart Beats?

Hello, I passed carefully through your question and would explain that your symptoms could be related to a possible cardiac arrhythmia. Anxiety cannot be excluded either. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests (a resting ECG, complete blood count for anaemia, thyroid hormone levels and blood electrolytes for possible imbalance). A prolonged ECG Holter monitoring would help investigate for possible cardiac arrhythmia. You should discuss with your doctor on the above tests. In the meantime, I recommend reducing caffeine intake and straining physical activity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist